| Vita Linea, Llc | |
|
333 Ne 2nd St Delray Beach FL 33483-4522 | |
| (678) 207-9575 | |
| Not Available |
| Full Name | Vita Linea, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 333 Ne 2nd St, Delray Beach, Florida |
| Authorized Official Name and Position | David Niknafs (OWNER) |
| Authorized Official Contact | 8008294933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Linea, Llc 333 Ne 2nd St Delray Beach FL 33483-4522 Ph: (678) 207-9575 | Vita Linea, Llc 333 Ne 2nd St Delray Beach FL 33483-4522 Ph: (678) 207-9575 |
| NPI Number | 1538725940 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538725940 | NPI | - | NPPES |
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